<head th:include="/header:: header"></head>
<div class="row">
	<div class="col-lg-12">
		<section class="panel">
			<div class="panel-body">
				<form role="form" action=" " method="post" id="form">
					<div class="row">
						<div class="col-lg-12 col-sm-12 control-label">
							<label for="name">组件关系名称</label>
							<div class="form-group">
								<input name="name" id="name" class="form-control fc-clear" />
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-lg-8 col-sm-8 control-label form-group ">
							<label for="groupRelationshipID">组件单编号</label>
							<div class="form-group">
								<input name="groupRelationshipID" id="groupRelationshipID"
									class="form-control fc-clear" />
							</div>
						</div>
						<div class="col-lg-4 col-sm-4 control-label">
							<label for="requirementDate">需求输入日期</label>
							<div class="form-group">
								<div class="input-group date form_date " data-date=""
									data-date-format="yyyy-mm-dd" data-link-field="requirementDate"
									data-link-format="yyyy-mm-dd">
									<input class="form-control" type="text" id="requirementDate"
										name="requirementDate"> <span
										class="input-group-addon"><span
										class="glyphicon glyphicon-remove"></span></span> <span
										class="input-group-addon"><span
										class="glyphicon glyphicon-calendar"></span></span></input>
								</div>
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-lg-4 col-sm-4 control-label">
							<div class="form-group">
								<label for="isEdit">是否需要修改</label> <select name="edit"
									class="js-example-basic-single form-control" id="isEdit">
									<option value="0">否</option>
									<option value="1">是</option>
								</select>
							</div>
						</div>
						<div class="col-lg-4 col-sm-4 control-label">
							<div class="form-group">
								<label for="sszb">所属组别</label> <select name="sszb"
									class="js-example-basic-single form-control" id="sszb">
									<option value="">--请选择--</option>
									<option value="1">申报缴税</option>
									<option value="2">在线办税</option>
									<option value="3">信息服务</option>
									<option value="4">总体组</option>
								</select>
							</div>
						</div>
						<div class="col-lg-4 col-sm-4 control-label">
							<div class="form-group">
								<label for="optUser">处理人员</label> <select name="userId"
									class="js-example-basic-single form-control" id="optUser">
								</select>
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-lg-12 col-sm-12 control-label">
							<div class="form-group">
								<label for="editPoint">修改点</label>
								<textarea id="editPoint" name="editPoint" class="form-control"
									rows="3" />
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-lg-8 col-sm-8 control-label">
							<div class="form-group">
								<label for="note">备注</label> <input name="note"
									class="form-control" id="note" />
							</div>
						</div>
						<div class="col-lg-4 col-sm-4 control-label">
							<div class="form-group">
								<label for="confirmedDate">确认日期</label>
								<div class="form-group">
									<div class="input-group date form_date " data-date=""
										data-date-format="yyyy-mm-dd" data-link-field="confirmedDate"
										data-link-format="yyyy-mm-dd">
										<input class="form-control" type="text" id="confirmedDate"
											name="confirmedDate"> <span class="input-group-addon"><span
											class="glyphicon glyphicon-remove"></span></span> <span
											class="input-group-addon"><span
											class="glyphicon glyphicon-calendar"></span></span></input>
									</div>
								</div>
							</div>
						</div>
					</div>
					<div class="col-lg-12  ">
						<input id="file" type="file" name="file" style="width: 200"></input>
						<input type="hidden" id="fileStr" name="fileStr" />
						<input type="hidden" id="fileName" name="fileName" />
					</div>
					<div class="col-lg-12  pull-right">
						<button type="button" class="btn btn-primary" id="submit">提交</button>
					</div>
				</form>
			</div>
		</section>
	</div>
</div>
<script th:src="@{../modular/pms/mysql/groupRelationship/add.js}"></script>
<div th:include="/footer:: footer"></div>
